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超声引导下负压吸引术治疗剖宫产瘢痕部位妊娠。

Ultrasound guided vacuum aspiration treatment of caesarean scar ectopic pregnancy.

出版信息

Ceska Gynekol. 2021;86(3):184-188. doi: 10.48095/cccg2021184.

Abstract

OBJECTIVE

To describe the case of ectopic pregnancy in the scar after caesarean section and its successful treatment using the technique of sonographically controlled vacuum aspiration.

CASE REPORT

The case of a 35-year-old patient with a history of two caesarean sections referred by a district gynecologist in the 6th week of pregnancy with suspected pathological localization of pregnancy in a scar after a previous caesarean section. The procedure for the diagnosis and treatment of ectopic pregnancy in the scar after previous caesarean sections has been successfully resolved using sonographically controlled vaginal vacuum aspiration.

CONCLUSION

Caesarean scar pregnancy occurs as a complication of previous caesarean section or other uterine instrumental performances. The use of the sonographically controlled vacuum aspiration technique appears to be a successful method of treating pregnancy in a scar after a caesarean section.

摘要

目的

描述剖宫产术后子宫瘢痕部位妊娠的病例,并成功运用超声引导下宫腔吸引术对此进行治疗。

病例报告

患者 35 岁,曾有两次剖宫产史,由地区妇科医生转诊,她在妊娠第 6 周时被怀疑有妊娠病理性定位,即上次剖宫产的子宫瘢痕部位。通过超声引导下经阴道宫腔吸引术成功解决了剖宫产后子宫瘢痕部位妊娠的诊断和治疗问题。

结论

剖宫产术后子宫瘢痕妊娠是剖宫产术或其他子宫器械操作的一种并发症。超声引导下宫腔吸引术的应用似乎是治疗剖宫产术后子宫瘢痕妊娠的一种有效方法。

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